Peachy Mae Tadifa Piana-Pacheco, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Tamuning, GU
NPI 1154617835 · NPPES record last updated Feb 26, 2020
Key facts
- NPI
- 1154617835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- M-2146 (GU)
- Practice address
- 633 Gov Carlos Camacho Road Suite 210
Tamuning, GU 96913 - Phone
- (671) 649-1001
- Fax
- (671) 649-1002
- NPI assigned
- Jun 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Interventional Radiology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Guam Healthcare Development Incorporated
Guam X-Ray
Guam Medical Imaging Center LLC
Guam Memorial Hospital
Practice addresses (Care Compare)
133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500
633 Gov Carlos Camacho Rd
Suite 210
Tamuning, GU 96913
Phone (671) 649-1001
850 Gov Carlos Camacho Rd
Tamuning, GU 96913-3128
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone (671) 647-2552
Hospital & facility affiliations
- Guam Regional Medical City
- Guam Memorial Hospital Authority
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.81 of 100
- Quality
- 83.57
- Improvement activities
- 40
- Cost
- 76.16
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.1 of 100
- Quality
- 100
- Promoting interoperability
- 0
- Improvement activities
- 30
- Cost
- 79.51
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.22 of 100
- Quality
- 78.84
- Improvement activities
- 40
- Cost
- 61.61
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, GU
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160715000091 | CA | Practitioner - Diagnostic Radiology |
8921390717 | Reassigns benefits to 1 organization |
| I20180820002775 | GU | Practitioner - Interventional Radiology |
8921390717 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A139682 | CA | MD | Diagnostic Radiology Physician |
| MT199632 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Healthcare Corporation | Current |
Accepting new patients | |
| Guam X-Ray | Diagnostic Radiology | Current |
Accepting new patients |
| Guam Medical Imaging Center LLC | Current |
Accepting new patients | |
| Guam Memorial Hospital | Current |
Accepting new patients | |
| Guam Memorial Hospital | Current |
Accepting new patients | |
| Commonwealth Healthcare Corporation | Current |
Accepting new patients | |
| Regents of the University of California | Diagnostic Radiology | Current |
Accepting new patients |
| Guam Healthcare Development Incorporated | Current |
Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626
200 W Arbor Dr
#8201
San Diego, CA 92103
Phone (858) 534-6290
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
633 Gov Carlos G Camacho Rd
Ste 218
Tamuning, GU 96913
Phone (671) 649-9227
633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001
850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MT199632 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | A139682 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | M-2146 | GU | Yes |
Addresses
Primary practice location
633 Gov Carlos Camacho Road Suite 210
Tamuning, GU 96913
Mailing address
633 Gov Carlos Camacho Road Suite 210
Tamuning, GU 96913-0834
Phone (671) 649-1001
Other practice location 1
9500 Gilman Dr Dept 834
University of California San Diego
LA Jolla, CA 92093-0834
Phone (619) 543-5493
Other providers in Tamuning, GU
- Gabriela Victoria Perez
- Ovita Perez
- Albert Pesigan
- Sherif A Philips
- Lourdes Phillips
- Rovilmina Pickop
- Rory Platt
- Peter John Pommerville
- Premise Health Employer Solutions LLC
- Primary Multispecialty Clinic
All providers in Tamuning, GU · Diagnostic Radiology Physician in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.